Assessment and Treatment of Trauma Patients
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Emergency Medicine".
Deadline for manuscript submissions: 30 April 2025 | Viewed by 423
Special Issue Editor
2. Department of Trauma and Orthopaedic Surgery, Luisenhospital Aachen, Boxgraben 99, 52064 Aachen, Germany
Interests: orthopaedic trauma; trauma management; detection and therapy of trauma-induced coagulopathy; sports injuries
Special Issue Information
Dear Colleagues,
The fast developments in the treatment of trauma patients are remarkable. Therapeutic indications have expanded steadily, and new therapies that have never existed are being developed and implemented. In particular, the advancements of prehospital application of blood products and haemostatics have become a crucial part in therapy. Furthermore, standardized clinical approaches and treatment protocols have been implemented in order to improve the patient’s outcome. Hence, interventional EUS has revolutionized endoscopic treatment for pancreaticobiliary disease. In this Special Issue, we welcome authors to submit papers on the clinical assessment and treatment of trauma patients with a special focus on novelties and new therapies. We would highly appreciate your contribution and are looking forward to your submission.
Dr. Arne Driessen
Guest Editor
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Keywords
- trauma surgery
- prehospital detection of trauma
- assessment of trauma
- trauma scale
- trauma evaluation
- trauma surgery
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Planned Papers
The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.
Title: Fracture Mapping in High-Energy Chest Trauma
Authors: Shuhuan Li; Duo Sun; Chu Wang; Pan Hu; Feifei Jin; Jingjing Ye; Diya Sun; Wei Huang
Affiliation: Peking University People's Hospital
Abstract: High-energy chest trauma is a significant health issue, often resulting in rib fractures and other associated injuries. This study aims to explore fracture distribution patterns from high-energy chest trauma using three-dimensional (3D) fracture mapping technology.This retrospective study analyzed cases of high-energy chest trauma with rib fractures treated at a Level 1 trauma center between February 2012 and January 2023. 3D computed tomography (CT) was used to reconstruct rib fractures, measure the locations of rib fracture lines, and create fracture frequency heat maps on a standard template, analyzing the influence of other thoracic fractures on rib fracture distribution.
A total of 102 patients were included. The most common mechanism of injury was motor vehicle accidents (72.5%), with an average of 7 ± 3.87 rib fractures per patient; the average number of rib fracture incidents was 9.05 ± 5.83. Clavicular fractures occurred in 26 patients (25.5%), scapular fractures in 20 (19.6%), thoracic vertebral fractures in 13 (12.7%), and sternal fractures in 4 (3.9%). The average position of the rib fracture lines was 49.60%, with the most common fracture locations in the anterior and posterior lateral thoracic areas. When associated with scapular fractures, the rib fracture lines were more posterior and closer to the spine at 43.58% (p < 0.001); with sternal fractures, they were more anterior and closer to the sternum at 61.32% (p = 0.003). Clavicular and thoracic vertebral fractures had no significant impact on the position of the rib fractures (p = 0.513 and p = 0.728, respectively). However, clavicular fractures were often associated with fractures of the first to third ribs (p = 0.001).Rib fractures are numerous in cases of high-energy chest trauma, with the most common locations being the anterior and posterior lateral regions. Fractures of the scapula and sternum influence the positioning of fracture lines. Clavicular fractures are associated with a higher incidence of upper rib fractures. Data visualization and precise patterns of rib fractures offer possibilities for predicting complications, assessing the necessity of surgery, and choosing the appropriate surgical approach.
